Provider Type Icon

PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1457641946


NPI Information

NPI: 1457641946
Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing Business As: SOUTHEASTERN NEPHROLOGY ASSOC

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1302 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401
Phone: (910) 763-4401
Get Directions

PRIVATE DIAGNOSTIC CLINIC, PLLC is a nephrology internal medicine in Wilmington, NC. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1457641946. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Nephrology Assoc.

The provider's business location address is:

1302 MEDICAL CENTER DR
WILMINGTON, NC
ZIP 28401-503
Phone: (910) 763-4401

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The enumeration date for this NPI number is 4/18/2011 and was last updated on 7/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.